The Relationship Checklist

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Information

Take 3-5 minutes and get some insight into your relationship…

Couple Sitting On Sofa Arguing

This is a great place to start. We’ve carefully developed this survey* to ask deep questions and calculate your responses to give you the most accurate snapshot of where your relationship IS and what it could take to get is where you want to be.

Take your time to carefully consider each item in the Relationship Checklist. Answer as honestly as you possibly can, because it DOES make a difference.

SCORING: For each item in this quiz, give only one number between 1 and 5. 1 indicates it is almost never so in your relationship. 5 indicates it is almost always so.

When you’re done, you’ll be automatically taken to a results page, based on your score.

You should also receive your results with links to more details, by email, if you have to close the final page.

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12. Question

13. Question

I can be fully myself with my partner, with no need to pretend, withhold or coverup.

Never
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Always

Question 14 of 21

14. Question

My partner shows me that I am appreciated, loved, seen and heard.

Never
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Always

Question 15 of 21

15. Question

My partner does not always understand me, but s/he believes in me regardless of circumstances.

Never
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Always

Question 16 of 21

16. Question

I feel close to my partner in every way and s/he is the prime person I want to spend time with.

Never
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Always

Question 17 of 21

17. Question

My partner takes the initiative to create time to spend together.

Never
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Always

Question 18 of 21

18. Question

I can safely tell my partner what I am thinking, feeling, needing or wanting in any circumstance, without concern.

Never
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Always

Question 19 of 21

19. Question

My partner and I share our visions for our life and collaborate to make them a reality.

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Always

Question 20 of 21

20. Question

My partner treats me with patience and interest.

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Always

Question 21 of 21

21. Question

My partner readily gives me his/her full attention and wants to know what I feel, think, need and want.

Never
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Always

*Disclaimer: The Relationship Checklist, created by relationship consultant, Rhoberta Shaler, PhD, is intended for general use only. It is intended to provide you with insights about your relationship and does not purport to provide anything beyond stimulating your thinking. You are encouraged to consult Dr. Shaler or work with a professional counselor or therapist. This checklist is not intended to replace professional therapy or counseling.

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